First Peoples Health Unit, Griffith University, Southport, Queensland, Australia.
Black Dog Institute, Randwick, New South Wales, Australia.
Nurs Inq. 2023 Jan;30(1):e12524. doi: 10.1111/nin.12524. Epub 2022 Sep 9.
There is an inextricable link between cultural and clinical safety. In Australia high-profile Aboriginal deaths in custody, publicised institutional racism in health services and the international Black Lives Matter movement have cemented momentum to ensure culturally safe care. However, racism within health professionals and health professional students remains a barrier to increasing the number of Aboriginal and Torres Strait Islander Health professionals. The Australian Health Practitioner Regulation Agency's Aboriginal and Torres Strait Islander Health Strategy's objective to 'eliminate racism from the health system', and the recent adoption of the Aboriginal and Torres Strait Islander peoples led cultural safety definition, has instigated systems level reflections on decolonising practice. This article explores cultural safety as the conceptual antithesis to racism, examining its origins, and contemporary evolution led by Aboriginal and Torres Strait Islander peoples in Australia, including its development in curriculum innovation. The application of cultural safety is explored using in-depth reflection, and the crucial development of integrating critical consciousness theory, as a precursor to culturally safe practice, is discussed. Novel approaches to university curriculum development are needed to facilitate culturally safe and decolonised learning and working environments, including the key considerations of non-Indigenous allyship and collaborative curriculum innovations and initiatives.
文化和临床安全之间存在着千丝万缕的联系。在澳大利亚,备受瞩目的原住民在押死亡事件、医疗服务机构中的制度性种族主义,以及国际“黑人的命也是命”运动,都为确保文化安全护理提供了动力。然而,卫生专业人员和卫生专业学生中的种族主义仍然是增加原住民和托雷斯海峡岛民卫生专业人员数量的障碍。澳大利亚卫生从业人员监管局的原住民和托雷斯海峡岛民卫生战略的目标是“消除卫生系统中的种族主义”,以及最近采用的由原住民和托雷斯海峡岛民领导的文化安全定义,引发了对实践去殖民化的系统层面反思。本文探讨了文化安全作为种族主义的概念对立面,审视了它的起源和当代演变,包括在课程创新中的发展。本文通过深入反思探讨了文化安全的应用,并讨论了将批判意识理论作为文化安全实践的前奏进行整合的重要发展。需要创新的大学课程发展方法,以促进文化安全和去殖民化的学习和工作环境,包括非土著盟友关系以及合作课程创新和举措的关键考虑因素。